Provider Demographics
NPI:1417178344
Name:ROBERT F NAPLES DO INC
Entity Type:Organization
Organization Name:ROBERT F NAPLES DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:NAPLES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-372-1608
Mailing Address - Street 1:2249 ELM ROAD EXTENSION
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44410-9333
Mailing Address - Country:US
Mailing Address - Phone:330-372-1608
Mailing Address - Fax:330-372-1013
Practice Address - Street 1:2249 ELM ROAD EXTENSION
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410-9333
Practice Address - Country:US
Practice Address - Phone:330-372-1608
Practice Address - Fax:330-372-1013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2292899Medicaid
0012301OtherCHAMPUS
OH0580974Medicaid
000000132574OtherANTHEM
0012301OtherCHAMPUS
000000132574OtherANTHEM
LANP20061Medicare ID - Type Unspecified
9325531Medicare ID - Type Unspecified
BANP10621Medicare ID - Type Unspecified
OH0580974Medicaid